Individual
PAMELA ISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3426 LAKE AVE, #120, PUEBLO, CO 81004-3877
(719) 561-5264
Mailing address
3426 LAKE AVE, #120, PUEBLO, CO 81004-3877
(719) 561-5264
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
99806
CO
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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